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  • C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
  • C07D213/24—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with substituted hydrocarbon radicals attached to ring carbon atoms
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  • C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
  • C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
  • C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
  • C07D213/24—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with substituted hydrocarbon radicals attached to ring carbon atoms
  • C07D213/28—Radicals substituted by singly-bound oxygen or sulphur atoms
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  • C07D213/00—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members
  • C07D213/02—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members
  • C07D213/04—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom
  • C07D213/60—Heterocyclic compounds containing six-membered rings, not condensed with other rings, with one nitrogen atom as the only ring hetero atom and three or more double bonds between ring members or between ring members and non-ring members having three double bonds between ring members or between ring members and non-ring members having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
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  • C07D401/00—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom
  • C07D401/02—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings
  • C07D401/04—Heterocyclic compounds containing two or more hetero rings, having nitrogen atoms as the only ring hetero atoms, at least one ring being a six-membered ring with only one nitrogen atom containing two hetero rings directly linked by a ring-member-to-ring-member bond
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  • C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
  • C07D405/02—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
  • C07D405/04—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings directly linked by a ring-member-to-ring-member bond
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  • C07D409/02—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings
  • C07D409/04—Heterocyclic compounds containing two or more hetero rings, at least one ring having sulfur atoms as the only ring hetero atoms containing two hetero rings directly linked by a ring-member-to-ring-member bond

Definitions

• the mineralocorticoid hormone aldosterone is produced by the adrenal gland and acts on the distal tubules and collecting ducts of the kidney to increase reabsorption of ions and water in the kidney.
• Aldosterone causes conservation of sodium, secretion of potassium, increased water retention, and increased blood pressure.
• the invention pertains to the compounds and uses thereof as described herein.
• Examples of compounds of the invention include the compounds according to any of Formulae I and II, or a pharmaceutically acceptable salt thereof, and the compounds of the examples.
• the invention pertains, to a compound of the Formula I, or a pharmaceutically acceptable salt thereof, for use as a medicament.
• the invention pertains to a compound of the Formula I, or a pharmaceutically acceptable salt thereof, for use in the treatment of a disorder or disease in a subject mediated by aldosterone synthase, wherein the disorder or disease is selected from hypokalemia, hypertension, Conn's disease, renal failure, chronic renal failure, restenosis, atherosclerosis, syndrome X, obesity, nephropathy, post-myocardial infarction, coronary heart diseases, increased formation of collagen, remodeling following hypertension and/or endothelial dysfunction, fibrosis following hypertension and/or endothelial dysfunction, cardiovascular diseases, renal dysfunction, liver diseases, cerebrovascular diseases, vascular diseases, retinopathy, neuropathy, insulinopathy, edema, endothelial dysfunction, baroreceptor dysfunction, migraine headaches, heart failure such as congestive heart failure, arrhythmia, diastolic dysfunction, left ventricular diastolic dysfunction, diastolic heart failure, impaired diastolic fill
• the invention pertains to pharmaceutical compositions, comprising a therapeutically effective amount of a compound of the Formula I, or a pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable carriers.
• the invention pertains, at least in part, to combinations comprising a therapeutically effective amount of a compound of the Formula I, or a pharmaceutically acceptable salt thereof, and one or more therapeutically active agents selected from an HMG-Co-A reductase inhibitor, an angiotensin II receptor antagonist, angiotensin converting enzyme (ACE) Inhibitor, a calcium channel blocker (CCB), a dual angiotensin converting enzyme/neutral endopeptidase (ACE/NEP) inhibitor, an endothelin antagonist, a renin inhibitor, a diuretic, an ApoA-I mimic, an anti-diabetic agent, an obesity-reducing agent, an aldosterone receptor blocker, an endothelin receptor blocker, or a CETP inhibitor.
• an HMG-Co-A reductase inhibitor an angiotensin II receptor antagonist
• angiotensin converting enzyme (ACE) Inhibitor a calcium channel blocker (CCB)
• alkyl refers to a fully saturated branched or unbranched (or straight chain or linear) hydrocarbon moiety, comprising 1 to 20 carbon atoms.
• the alkyl comprises 1 to 6 carbon atoms, and more preferably 1 to 4 carbon atoms.
• alkyl examples include methyl, ethyl, n -propyl, iso -propyl, n -butyl, sec- butyl, iso -butyl, tert -butyl, n -pentyl, isopentyl, neopentyl, n -hexyl, 3-methylhexyl, 2,2-dimethylpentyl, 2,3-dimethylpentyl, n -heptyl.
• C 1-6 alkyl refers to a hydrocarbon having from one to six carbon atoms.
• haloalkyl refers to an alkyl as defined herein, that is substituted by one or more halo groups as defined herein.
• the haloalkyl can be monohaloalkyl, dihaloalkyl or polyhaloalkyl including perhaloalkyl.
• a monohaloalkyl can have one iodo, bromo, chloro or fluoro within the alkyl group.
• Dihaloalky and polyhaloalkyl groups can have two or more of the same halo atoms or a combination of different halo groups within the alkyl.
• the polyhaloalkyl contains up to 12, or 10, or 8, or 6, or 4, or 3, or 2 halo groups.
• haloalkyl are fluoromethyl, difluoromethyl, trifluoromethyl, chloromethyl, dichloromethyl, trichloromethyl, pentafluoroethyl, heptafluoropropyl, difluorochloromethyl, dichlorofluoromethyl, difluoroethyl, difluoropropyl, dichloroethyl and dichloropropyl.
• a perhaloalkyl refers to an alkyl having all hydrogen atoms replaced with halo atoms.
• halo-C 1-6 alkyl refers to a hydrocarbon having from one to six carbon atoms and being substituted by one or more halo groups.
• alkoxy refers to alkyl-O-, wherein alkyl is defined herein above.
• Representative examples of alkoxy include, but are not limited to, methoxy, ethoxy, propoxy, 2-propoxy, butoxy, tert -butoxy, pentyloxy, hexyloxy, cyclopropyloxy-, cyclohexyloxy- and the like.
• alkoxy groups have about 1 to 6, more preferably about 1 to 4 carbons.
• cycloalkyl refers to saturated or partially unsaturated monocyclic, bicyclic or tricyclic hydrocarbon groups of 3-12 carbon atoms, preferably 3-8, or 3-7 carbon atoms.
• exemplary monocyclic hydrocarbon groups include cyclopropyl, cyclobutyl, cyclopentyl, cyclopentenyl, cyclohexyl and cyclohexenyl.
• Exemplary bicyclic hydrocarbon groups include bornyl, decahydronaphthyl, bicyclo[2.1.1]hexyl, bicyclo[2.2.1]heptyl, bicyclo[2.2.1]heptenyl, bicyclo[2.2.2]octyl.
• Exemplary tricyclic hydrocarbon groups include adamantyl.
• C 3-7 cycloakyl refers to a cyclic hydrocarbon groups having 3 to 7 carbon atoms.
• aryl refers to monocyclic or bicyclic aromatic hydrocarbon groups having 6-10 carbon atoms in the ring portion.
• aryl also refers to a group in which an aromatic ring is fused to one or more cycloalkyl rings or heterocyclyl rings, where the radical or point of attachment is on the aromatic ring or on the fused cycloalkyl or heterocyclyl ring.
• Representative examples of aryl are phenyl, naphthyl, indanyl or tetrahydronaphthyl, hexahydroindyl.
• C 6-10 aryl refers to an aromatic hydrocarbon groups having 6 to 10 carbon atoms in the ring portion.
• aryloxy includes an -O-aryl moiety, wherein aryl is defined herein.
• arylalkyloxy refers to an -O-arylalkyl moiety, wherein arylalkyl is defined herein.
• Heteroaryl includes aromatic monocyclic or bicyclic heteroaryl, containing from 5-10 ring members selected from carbon atoms and 1 to 5 heteroatoms, and each heteroatoms is independently selected from O, N or S, where O and S can be oxidized to various oxidation states.
• Typical monocyclic heteroaryl groups include thienyl, furyl, pyrrolyl, imidazolyl, pyrazolyl, thiazolyl, isothiazolyl, 1, 2, 3-oxadiazolyl, 1,2,4-oxadiazolyl, 1,2,5-oxadiazolyl, 1,3,4-oxadiazolyl, 1,2,3-thiadiazolyl, 1,2,4-thiadiazolyl, 1,2,5-thiadiazolyl, 1,3,4-thiadiazolyl, isothiazol-3-yl, isothiazol-4-yl, isothiazol-5-yl, oxazol-2-yl, oxazol-4-yl, oxazol-5-yl, isoxazol-3-yl, isoxazol-4-yl, isoxazol-5-yl, 1,2,4-triazol-3-yl, 1,2,4-triazol-5-yl, 1,2, 3-triazol-4
• heteroaryl also refers to a group in which a heteroaromatic ring is fused to one or more aryl, cycloaliphatic, or heterocyclyl rings, where the radical or point of attachment is on the heteroaromatic ring or on the fused aryl, cycloaliphatic or heterocyclyl rings.
• bicyclic heteroaryl are indolyl, isoindolyl, indazolyl, indolizinyl, purinyl, quinolizinyl, quinolinyl, isoquinolinyl, cinnolinyl, phthalazinyl, naphthyridinyl, quinazolinyl, quinaxalinyl, thieno[2,3-b]furanyl, furo[3,2-b]-pyranyl, 5H-pyrido[2,3-d]-o-oxazinyl, 1H-pyrazolo[4,3-d]-oxazolyl, 4H-imidazo[4,5-d] thiazolyl, pyrazino[2,3-d]pyridazinyl, imidazo[2,1-b] thiazolyl, imidazo[1,2-b][1,2,4]triazinyl, 7-benzo[b]thienyl,
• heteroaryloxy includes an --O-heteroaryl moiety, wherein heteroaryl is defined herein.
• heterocyclyl refers to a saturated or unsaturated nonaromatic ring or ring system, e.g ., which is a 4-, 5-, 6-, or 7-membered monocyclic, 7-, 8-, 9-, 10-, 11-, or 12-membered bicyclic or 10-, 11-, 12-, 13-, 14- or 15-membered tricyclic ring system and contains at least one heteroatom selected from O, S and N, where the N and S can also optionally be oxidized to various oxidation states.
• heterocyclyl moiety represents a saturated monocyclic ring containing from 5-7 ring atoms and containing 1, 2 or 3 heteroatoms.
• the heterocyclyl group can be attached at a heteroatom or a carbon atom.
• the heterocyclyl can include fused or bridged rings as well as spirocyclic rings.
• Examples of heterocycles include dihydrofuranyl, dioxolanyl, dioxanyl, dithianyl, piperazinyl, pyrrolidine, dihydropyranyl, oxathiolanyl, dithiolane, oxathianyl, thiomorpholino, oxiranyl, aziridinyl, oxetanyl, oxepanyl, azetidinyl, tetrahydrofuranyl, tetrahydrothiophenyl, pyrrolidinyl, tetrahydropyranyl, piperidinyl, morpholino, piperazinyl, azepinyl, oxapinyl, oxaazepanyl, oxathiany
• heterocyclyloxy includes an --O-heterocyclyl, wherein heterocyclyl is defined herein.
• hydroxy or "hydroxyl” includes groups with an -OH.
• halogen includes fluorine, bromine, chlorine, iodine.
• perhalogenated generally refers to a moiety wherein all hydrogens are replaced by halogen atoms.
• heteroatom includes atoms of any element other than carbon or hydrogen. Preferred heteroatoms are nitrogen, oxygen, sulfur and phosphorus. In one embodiment, “heteroatom” includes nitrogen, sulfur and oxygen.
• sulfonyl includes R-SO 2 --, wherein R is hydrogen, C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 6-10 aryl, heteroaryl, C 6-10 aryl C 1-6 alkyl, heteroaryl C 1-6 alkyl, C 1-7 alkoxy, C 6-10 aryloxy, heteroaryloxy, heterocyclyloxy, C 3-7 cycloalkyl, C 3-7 cycloalkyl C 1-6 alkyl, heterocyclyl or heterocyclyl-C 1-6 alkyl.
• sulfonyl also includes both substituted and unsubstituted moieties which may be substituted with one or more C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-7 cycloalkyl, halogen, hydroxy or C 1-6 alkoxy groups.
• sulfonamido includes C 1-6 alkyl-S(O) 2 -NH-, C 2-6 alkenyl-S(O) 2 -NH-, C 2-6 alkynyl-S(O) 2 NH-, C 3-7 cycloalkyl-S(O) 2 NH-, C 6-10 aryl-S(O) 2 -NH-, C 6-10 aryl C 1-6 alkyl-S(O) 2 -NH-, heteroaryl-S(O) 2 -NH-, heteroaryl C 1-6 alkyl-S(O) 2 -NH-, heterocyclyl-S(O) 2 -NH-, heterocyclyl-S(O) 2 -NH-, heterocyclyl-S(O) 2 -NH-, C 1-6 alkyl-S(O) 2 -N(C 1-7 alkyl)-, C 2-6 alkenyl-S(O) 2 -N(C 1-7 alkyl)-, C 2-7
• sulfamido also include both substituted and unsubstituted moieties which may be substituted with one or more C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-7 cycloalkyl, halogen, hydroxy or C 1-6 alkoxy groups.
• sulfamoyl includes H 2 NS(O) 2 -, C 1-6 alkyl-NHS(O) 2 -, (C 1-6 alkyl) 2 NS(O) 2 -, C 6-10 aryl-NHS(O) 2 -, C 1-6 alkyl(C 6-10 aryl)-NS(O) 2 -, (C 6-10 aryl) 2 NS(O) 2 -, heteroaryl-NHS(O) 2 -, (C 6-10 aryl C 1-6 alkyl)-NHS(O) 2 -, (heteroaryl C 1-6 alkyl)-NHS(O) 2 -.
• the term includes both substituted and unsubstituted sulfamoyl moieties which may be substituted with one or more C 1-6 alkyl, C 2-6 alkenyl, C 2-6 alkynyl, C 3-7 cycloalkyl, halogen, hydroxy or C 1-6 alkoxy groups.
• carboxy refers to carboxylic acid
• Certain compounds of Formula I wherein R 3 is H include compounds of Formula II: or a pharmaceutically acceptable salt thereof, wherein A, R 1 , R 2 , R 5 and n have the definitions of Formula I, supra, and R 4a is C 1-6 -alkyl or C 3-7 cycloalkyl; wherein alkyl can be optionally substituted with alkoxy, halogen or hydroxy or R 4a and R 5 form together with the atoms to which they are attached a 4- or 7-membered heterocyclyl.
• the invention pertains to compounds of Formula I or a pharmaceutically acceptable salt thereof, wherein R 3 and R 4 are independently C 1-6 -alkyl; wherein alkyl can be optionally substituted with C 1-6 alkoxy, halogen, hydroxy or R 3 and R 4 can form together with the atoms to which they are attached a 4- to 7-membered heterocyclyl or a 3- to 7-membered cycloalkyl.
• R 3 and R 4 are independently C 1-6 -alkyl; wherein alkyl can be optionally substituted with C 1-6 alkoxy, halogen, hydroxy.
• the invention pertains to compounds according to any one of Formulae I and II or of any classes and subclasses described supra, or a pharmaceutically acceptable salt thereof, wherein n is 1 or 2 and each R 1 is independently halo, C 1-6 -alkyl, cyano, -S-C 1-6 -alkyl, C 1-6 -alkoxy, halo-C 1-6 -alkyl, halo-C 1-6 -alkoxy, C 1-6 -alkoxy- C 1-6 -alkoxy, s-alkyl, di-C 1-6 -alkylamino, C 1-6 -alkylamino or heterocyclyl.
• n is 1 or 2 and R 1 is independently halo, C 1-6 -alkyl, cyano, or C 1-6 -alkoxy.
• the invention pertains to compounds according to any one of Formulae I and II or of any classes and subclasses described supra, or a pharmaceutically acceptable salt thereof, wherein R 2 is H or halo. In one aspect of this embodiment R 2 is halo. In a further aspect of this embodiment R 2 is fluoro or chloro.
• the invention pertains to compounds according to any one of Formulae I and II or a pharmaceutically acceptable salt thereof, wherein R 5 is H or C 1-6 -alkyl; or R 5 and R 4a or R 5 and R 4 form together with the atoms to which they are attached a 4- to 7-membered ring saturated heterocyclyl.
• R 5 is H.
• the invention pertains to compounds according to Formula II, or a pharmaceutically acceptable salt thereof, wherein R 4a is C 1-6 -alkyl optionally substituted with C 1-6 alkoxy, halogen or hydroxy. In one aspect of this embodiment R 4a is methyl.
• the invention pertains to compounds according to Formula II wherein the stereochemistry at the -CH(R 4a )- chiral center is (S). In another embodiment, the invention pertains to compounds of Formula II wherein the stereochemistry at the -CH(R 4a )- chiral center is (R).
• some compounds of the invention may have selectivity for aldosterone synthase (CYP11B2) relative to 11-beta hydroxylase (CYP11B1).
• R 1 , R 2 , R 3 , R 4 , R 5 groups are those defined by the n, R 1 , R 2 , R 3 , R 4 , R 5 groups in the Examples section below.
• individual compounds according to the invention are those listed in the Examples section below, or a pharmaceutically acceptable salt thereof.
• the term “isomers” refers to different compounds that have the same molecular formula but differ in arrangement and configuration of the atoms.
• an optical isomer or “a stereoisomer” refers to any of the various stereo isomeric configurations which may exist for a given compound of the present invention and includes geometric isomers. It is understood that a substituent may be attached at a chiral center of a carbon atom. Therefore, the invention includes enantiomers, diastereomers or racemates of the compound.
• “Enantiomers” are a pair of stereoisomers that are non-superimposable mirror images of each other. A 1:1 mixture of a pair of enantiomers is a “racemic" mixture.
• Diastereoisomers are stereoisomers that have at least two asymmetric atoms, but which are not mirror-images of each other.
• the absolute stereochemistry is specified according to the Cahn- Ingold- Prelog R-S system. When a compound is a pure enantiomer the stereochemistry at each chiral carbon may be specified by either R or S .
• Resolved compounds whose absolute configuration is unknown can be designated (+) or (-) depending on the direction (dextro- or levorotatory) which they rotate plane polarized light at the wavelength of the sodium D line.
• Certain of the compounds described herein contain one or more asymmetric centers or axes and may thus give rise to enantiomers, diastereomers, and other stereoisomeric forms that may be defined, in terms of absolute stereochemistry, as ( R )- or ( S )-.
• the present invention is meant to include all such possible isomers, including racemic mixtures, optically pure forms and intermediate mixtures.
• Optically active ( R )- and ( S )- isomers may be prepared using chiral synthons or chiral reagents, or resolved using conventional techniques. If the compound contains a double bond, the substituent may be E or Z configuration. If the compound contains a disubstituted cycloalkyl, the cycloalkyl substituent may have a cis- or trans-configuration. All tautomeric forms are also intended to be included.
• any asymmetric atom (e.g., carbon or the like) of the compound(s) of the present invention can be present in racemic or enantiomerically enriched, for example the ( R )-, ( S )- or ( R,S )- configuration.
• each asymmetric atom has at least 50 % enantiomeric excess, at least 60 % enantiomeric excess, at least 70 % enantiomeric excess, at least 80 % enantiomeric excess, at least 90 % enantiomeric excess, at least 95 % enantiomeric excess, or at least 99 % enantiomeric excess in the ( R )- or ( S )- configuration.
• Substituents at atoms with unsaturated bonds may, if possible, be present in cis- ( Z )- or trans- ( E ) - form.
• a compound of the present invention can be in the form of one of the possible isomers, rotamers, atropisomers, tautomers or mixtures thereof, for example, as substantially pure geometric ( cis or trans ) isomers, diastereomers, optical isomers (antipodes), racemates or mixtures thereof.
• Any resulting mixtures of isomers can be separated on the basis of the physicochemical differences of the constituents, into the pure or substantially pure geometric or optical isomers, diastereomers, racemates, for example, by chromatography and/or fractional crystallization.
• Any resulting racemates of final products or intermediates can be resolved into the optical antipodes by known methods, e.g ., by separation of the diastereomeric salts thereof, obtained with an optically active acid or base, and liberating the optically active acidic or basic compound.
• a basic moiety may thus be employed to resolve the compounds of the present invention into their optical antipodes, e.g ., by fractional crystallization of a salt formed with an optically active acid, e.g ., tartaric acid, dibenzoyl tartaric acid, diacetyl tartaric acid, di- O,O '- p -toluoyl tartaric acid, mandelic acid, malic acid or camphor-10-sulfonic acid. Racemic products can also be resolved by chiral chromatography, e.g ., high pressure liquid chromatography (HPLC) using a chiral adsorbent.
• HPLC high pressure liquid chromatography
• the term "pharmaceutically acceptable salts” refers to salts that retain the biological effectiveness and properties of the compounds of this invention and, which typically are not biologically or otherwise undesirable.
• the compounds of the present invention are capable of forming acid and/or base salts by virtue of the presence of amino and/or carboxyl groups or groups similar thereto.
• Pharmaceutically acceptable acid addition salts can be formed with inorganic acids and organic acids, e.g., acetate, aspartate, benzoate, besylate, bromide/hydrobromide, bicarbonate/carbonate, bisulfate/sulfate, camphorsulfornate, chloride/hydrochloride, chlortheophyllonate, citrate, ethandisulfonate, fumarate, gluceptate, gluconate, glucuronate, hippurate, , hydroiodide/iodide, isethionate, lactate, lactobionate, laurylsulfate, malate, maleate, malonate, mandelate, mesylate, methylsulphate, naphthoate, napsylate, nicotinate, nitrate, octadecanoate, oleate, oxalate, palmitate, pamoate, phosphate/hydrogen phosphate/di
• Organic acids from which salts can be derived include, for example, acetic acid, propionic acid, glycolic acid, oxalic acid, maleic acid, malonic acid, succinic acid, fumaric acid, tartaric acid, citric acid, benzoic acid, mandelic acid, methanesulfonic acid, ethanesulfonic acid, toluenesulfonic acid, sulfosalicylic acid, and the like.
• Pharmaceutically acceptable base addition salts can be formed with inorganic and organic bases.
• Inorganic bases from which salts can be derived include, for example, ammonium salts and metals from columns I to XII of the periodic table.
• the salts are derived from sodium, potassium, ammonium, calcium, magnesium, iron, silver, zinc, and copper; particularly suitable salts include ammonium, potassium, sodium, calcium and magnesium salts.
• Organic bases from which salts can be derived include, for example, primary, secondary, and tertiary amines, substituted amines including naturally occurring substituted amines, cyclic amines, basic ion exchange resins, and the like.
• Certain organic amines include isopropylamine, benzathine, cholinate, diethanolamine, diethylamine, lysine, meglumine, piperazine and tromethamine.
• the pharmaceutically acceptable salts of the present invention can be synthesized from a parent compound, a basic or acidic moiety, by conventional chemical methods.
• such salts can be prepared by reacting free acid forms of these compounds with a stoichiometric amount of the appropriate base (such as Na, Ca, Mg, or K hydroxide, carbonate, bicarbonate or the like), or by reacting free base forms of these compounds with a stoichiometric amount of the appropriate acid.
• a stoichiometric amount of the appropriate base such as Na, Ca, Mg, or K hydroxide, carbonate, bicarbonate or the like
• Such reactions are typically carried out in water or in an organic solvent, or in a mixture of the two.
• use of non-aqueous media like ether, ethyl acetate, ethanol, isopropanol, or acetonitrile is desirable, where practicable.
• any formula given herein is also intended to represent unlabeled forms as well as isotopically labeled forms of the compounds.
• any hydrogen represented by “H” in any of the formulae herein is intended to represent all isotopic forms of hydrogen (e.g. 1 H, 2 H or D, 3 H);
• any carbon represented by “C” in any of the formulae herein is intended to represent all isotopic forms of carbon (e.g. 11 C, 13 C, 14 C);
• any nitrogen represented by "N” is intended to represent all isotopic forms of nitrogen (e.g. 14 N, 15 N).
• isotopes that are included in the invention include isotopes of oxygen, sulfur, phosphorous, fluorine, iodine and chlorine, such as 18 F 31 P, 32 P, 35 S, 36 Cl, 125 I.
• the invention includes various isotopically labeled compounds as defined herein, for example those into which radioactive isotopes, such as 3 H, 13 C, and 14 C are present.
• the atoms in the formulae herein occur in their natural abundance.
• one or more hydrogen atom may be enriched in 2 H; or/and one or more carbon atom may be enriched in 11 C, 13 C or 14 C; or/and one or more nitrogen may be enriched in 14 N.
• Such isotopically labelled compounds are useful in metabolic studies (with 14 C), reaction kinetic studies (with, for example 2 H or 3 H), detection or imaging techniques, such as positron emission tomography (PET) or single-photon emission computed tomography (SPECT) including drug or substrate tissue distribution assays, or in radioactive treatment of patients.
• PET positron emission tomography
• SPECT single-photon emission computed tomography
• an 18 F or labeled compound may be particularly desirable for PET or SPECT studies.
• Isotopically labeled compounds of this invention and prodrugs thereof can generally be prepared by carrying out the procedures disclosed in the schemes or in the examples and preparations described below by substituting a readily available isotopically labeled reagent for a non-isotopically labeled reagent.
• isotopic enrichment factor means the ratio between the isotopic abundance and the natural abundance of a specified isotope.
• a substituent in a compound of this invention is denoted deuterium, such compound has an isotopic enrichment factor for each designated deuterium atom of at least 3500 (52.5% deuterium incorporation at each designated deuterium atom), at least 4000 (60% deuterium incorporation), at least 4500 (67.5% deuterium incorporation), at least 5000 (75% deuterium incorporation), at least 5500 (82.5% deuterium incorporation), at least 6000 (90% deuterium incorporation), at least 6333.3 (95% deuterium incorporation), at least 6466.7 (97% deuterium incorporation), at least 6600 (99% deuterium incorporation), or at least 6633.3 (99.5% deuterium incorporation).
• Isotopically-enriched compounds of formula I or II can generally be prepared by conventional techniques known to those skilled in the art or by processes analogous to those described in the accompanying Examples and Preparations using an appropriate isotopically-enriched reagent in place of the non-enriched reagent previously employed.
• solvates in accordance with the invention include those wherein the solvent of crystallization may be isotopically substituted, e.g . D 2 O, d 6 -acetone, d 6 -OMSO.
• Compounds of the invention i.e. compounds of formula I or II that contain groups capable of acting as donors and/or acceptors for hydrogen bonds may be capable of forming co-crystals with suitable co-crystal formers.
• These co-crystals may be prepared from compounds of formula I or II by known co-crystal forming procedures. Such procedures include grinding, heating, co-subliming, co-melting, or contacting in solution compounds of Formulae I and II with the co-crystal former under crystallization conditions and isolating co-crystals thereby formed.
• Suitable co-crystal formers include those described in WO 2004/078163 .
• the invention further provides co-crystals comprising a compound of formula I or II.
• the term "pharmaceutically acceptable carrier” includes any and all solvents, dispersion media, coatings, surfactants, antioxidants, preservatives (e.g ., antibacterial agents, antifungal agents), isotonic agents, absorption delaying agents, salts, preservatives, drugs, drug stabilizers, binders, excipients, disintegration agents, lubricants, sweetening agents, flavoring agents, dyes, and the like and combinations thereof, as would be known to those skilled in the art (see, for example, Remington's Pharmaceutical Sciences, 18th Ed. Mack Printing Company, 1990, pp. 1289- 1329 ). Except insofar as any conventional carrier is incompatible with the active ingredient, its use in the therapeutic or pharmaceutical compositions is contemplated.
• a therapeutically effective amount of a compound of the present invention refers to an amount of the compound of the present invention that will elicit the biological or medical response of a subject, for example, reduction or inhibition of an enzyme or a protein activity, or amelioration of a symptom, alleviation of a condition, slow or delay disease progression, or prevention of a disease, etc.
• a therapeutically effective amount refers to the amount of the compound of the present invention that, when administered to a subject, is effective to (1) at least partially alleviate, inhibit, prevent and/or ameliorate a condition, or a disorder or a disease (i) mediated by aldosterone synthase and/or CYP11B1, or (ii) associated with aldosterone synthase and/or CYP11B1 activity, or (iii) characterized by abnormal activity of aldosterone synthase and/or CYP11B1; or (2) reduce or inhibit the activity of aldosterone synthase and/or CYP11B1; or (3) reduce or inhibit the expression of aldosterone synthase and/or CYP11B1.
• a therapeutically effective amount refers to the amount of the compound of the present invention that, when administered to a cell, or a tissue, or a non-cellular biological material, or a medium, is effective to at least partially reduce or inhibit the activity of aldosterone synthase and/or CYP11B1; or at least partially reduce or inhibit the expression of aldosterone synthase and/or CYP11B1.
• the term "subject" refers to an animal. Typically the animal is a mammal. A subject also refers to for example, primates ( e.g ., humans), cows, sheep, goats, horses, dogs, cats, rabbits, rats, mice, fish, birds and the like. In certain embodiments, the subject is a primate. In yet other embodiments, the subject is a human.
• primates e.g ., humans
• the subject is a primate.
• the subject is a human.
• the term “inhibit”, “inhibition” or “inhibiting” refers to the reduction or suppression of a given condition, symptom, or disorder, or disease, or a significant decrease in the baseline activity of a biological activity or process.
• the term “treat”, “treating” or “treatment” of any disease or disorder refers in one embodiment, to ameliorating the disease or disorder (i.e., slowing or arresting or reducing the development of the disease or at least one of the clinical symptoms thereof).
• “treat”, “treating” or “treatment” refers to alleviating or ameliorating at least one physical parameter including those which may not be discernible by the patient.
• “treat”, “treating” or “treatment” refers to modulating the disease or disorder, either physically, ( e.g ., stabilization of a discernible symptom), physiologically, ( e.g ., stabilization of a physical parameter), or both.
• “treat”, “treating” or “treatment” refers to preventing or delaying the onset or development or progression of the disease or disorder.
• a subject is "in need of” a treatment if such subject would benefit biologically, medically or in quality of life from such treatment.
• the compounds of the present invention may also form internal salts, e.g., zwitterionic molecules.
• Pro-drugs of the compounds of the present invention that convert in vivo to the compounds of the present invention are also herein described.
• a pro-drug is an active or inactive compound that is modified chemically through in vivo physiological action, such as hydrolysis, metabolism and the like, into a compound of this invention following administration of the prodrug to a subject.
• the suitability and techniques involved in making and using pro-drugs are well known by those skilled in the art.
• Prodrugs can be conceptually divided into two non-exclusive categories, bioprecursor prodrugs and carrier prodrugs. See The Practice of Medicinal Chemistry, Ch. 31-32 (Ed. Wermuth, Academic Press, San Diego, Calif., 2001 ).
• bioprecursor prodrugs are compounds, which are inactive or have low activity compared to the corresponding active drug compound, that contain one or more protective groups and are converted to an active form by metabolism or solvolysis. Both the active drug form and any released metabolic products should have acceptably low toxicity.
• Carrier prodrugs are drug compounds that contain a transport moiety, e.g ., that improve uptake and/or localized delivery to a site(s) of action.
• a transport moiety e.g ., that improve uptake and/or localized delivery to a site(s) of action.
• the linkage between the drug moiety and the transport moiety is a covalent bond
• the prodrug is inactive or less active than the drug compound
• any released transport moiety is acceptably non-toxic.
• the transport moiety is intended to enhance uptake
• the release of the transport moiety should be rapid.
• it is desirable to utilize a moiety that provides slow release e.g ., certain polymers or other moieties, such as cyclodextrins.
• Carrier prodrugs can, for example, be used to improve one or more of the following properties: increased lipophilicity, increased duration of pharmacological effects, increased site-specificity, decreased toxicity and adverse reactions, and/or improvement in drug formulation (e.g ., stability, water solubility, suppression of an undesirable organoleptic or physiochemical property).
• lipophilicity can be increased by esterification of (a) hydroxyl groups with lipophilic carboxylic acids (e.g., a carboxylic acid having at least one lipophilic moiety), or (b) carboxylic acid groups with lipophilic alcohols (e.g., an alcohol having at least one lipophilic moiety, for example aliphatic alcohols).
• Exemplary prodrugs are, e.g ., esters of free carboxylic acids and S -acyl derivatives of thiols and O -acyl derivatives of alcohols or phenols, wherein acyl has a meaning as defined herein.
• Suitable prodrugs are often pharmaceutically acceptable ester derivatives convertible by solvolysis under physiological conditions to the parent carboxylic acid, e.g ., lower alkyl esters, cycloalkyl esters, lower alkenyl esters, benzyl esters, mono- or disubstituted lower alkyl esters, such as the ⁇ -(amino, mono- or di-lower alkylamino, carboxy, lower alkoxycarbonyl)-lower alkyl esters, the ⁇ -(lower alkanoyloxy, lower alkoxycarbonyl or di-lower alkylaminocarbonyl)-lower alkyl esters, such as the pivaloyloxymethyl ester and the like conventionally used in the art.
• lower alkyl esters e.g ., lower alkyl esters, cycloalkyl esters, lower alkenyl esters, benzyl esters, mono- or disubstituted lower alkyl
• amines have been masked as arylcarbonyloxymethyl substituted derivatives which are cleaved by esterases in vivo releasing the free drug and formaldehyde ( Bundgaard, J. Med. Chem. 2503 (1989 )).
• drugs containing an acidic NH group such as imidazole, imide, indole and the like, have been masked with N-acyloxymethyl groups ( Bundgaard, Design of Prodrugs, Elsevier (1985 )). Hydroxy groups have been masked as esters and ethers.
• EP 039,051 (Sloan and Little ) discloses Mannich-base hydroxamic acid prodrugs, their preparation and use.
• the compounds of the present invention can also be obtained in the form of their hydrates, or include other solvents used for their crystallization.
• protecting group a readily removable group that is not a constituent of the particular desired end product of the compounds of the present invention.
• the protection of functional groups by such protecting groups, the protecting groups themselves, and their cleavage reactions are described for example in standard reference works, such as J. F. W. McOmie, "Protective Groups in Organic Chemistry", Plenum Press, London and New York 1973 , in T. W. Greene and P. G. M. Wuts, "Protective Groups in Organic Synthesis", Third edition, Wiley, New York 1999 .
• Salts of compounds of the present invention having at least one salt-forming group may be prepared in a manner known per se.
• salts of compounds of the present invention having acid groups may be formed, for example, by treating the compounds with metal compounds, such as alkali metal salts of suitable organic carboxylic acids, e.g . the sodium salt of 2-ethylhexanoic acid, with organic alkali metal or alkaline earth metal compounds, such as the corresponding hydroxides, carbonates or hydrogen carbonates, such as sodium or potassium hydroxide, carbonate or hydrogen carbonate, with corresponding calcium compounds or with ammonia or a suitable organic amine, stoichiometric amounts or only a small excess of the salt-forming agent preferably being used.
• metal compounds such as alkali metal salts of suitable organic carboxylic acids, e.g . the sodium salt of 2-ethylhexanoic acid
• organic alkali metal or alkaline earth metal compounds such as the corresponding hydroxides, carbonates or hydrogen carbonates, such
• Acid addition salts of compounds of the present invention are obtained in customary manner, e.g . by treating the compounds with an acid or a suitable anion exchange reagent.
• Internal salts of compounds of the present invention containing acid and basic salt-forming groups, e.g . a free carboxy group and a free amino group, may be formed, e.g . by the neutralisation of salts, such as acid addition salts, to the isoelectric point, e.g . with weak bases, or by treatment with ion exchangers.
• Salts can be converted in customary manner into the free compounds; metal and ammonium salts can be converted, for example, by treatment with suitable acids, and acid addition salts, for example, by treatment with a suitable basic agent.
• diastereoisomers can be separated in a manner known per se into the individual isomers; diastereoisomers can be separated, for example, by partitioning between polyphasic solvent mixtures, recrystallisation and/or chromatographic separation, for example over silica gel or by e.g . medium pressure liquid chromatography over a reversed phase column, and racemates can be separated, for example, by the formation of salts with optically pure salt-forming reagents and separation of the mixture of diastereoisomers so obtainable, for example by means of fractional crystallisation, or by chromatography over optically active column materials.
• Intermediates and final products can be worked up and/or purified according to standard methods, e.g . using chromatographic methods, distribution methods, (re-) crystallization, and the like.
• All the above-mentioned process steps can be carried out under reaction conditions that are known per se, including those mentioned specifically, in the absence or, customarily, in the presence of solvents or diluents, including, for example, solvents or diluents that are inert towards the reagents used and dissolve them, in the absence or presence of catalysts, condensation or neutralizing agents, for example ion exchangers, such as cation exchangers, e.g .
• mixtures of isomers that are formed can be separated into the individual isomers, for example diastereoisomers or enantiomers, or into any desired mixtures of isomers, for example racemates or mixtures of diastereoisomers, for example analogously to the methods described under "Additional process steps”.
• solvents from which those solvents that are suitable for any particular reaction may be selected include those mentioned specifically or, for example, water, esters, such as lower alkyl-lower alkanoates, for example ethyl acetate, ethers, such as aliphatic ethers, for example diethyl ether, or cyclic ethers, for example tetrahydrofuran or dioxane, liquid aromatic hydrocarbons, such as benzene or toluene, alcohols, such as methanol, ethanol or 1- or 2-propanol, nitriles, such as acetonitrile, halogenated hydrocarbons, such as methylene chloride or chloroform, acid amides, such as dimethylformamide or dimethyl acetamide, bases, such as heterocyclic nitrogen bases, for example pyridine or N -methylpyrrolidin-2-one, carboxylic acid anhydrides, such as lower alkanoic acid anhydrides, for example acetic anhydride,
• the compounds, including their salts, may also be obtained in the form of hydrates, or their crystals may, for example, include the solvent used for crystallization. Different crystalline forms may be present.
• the compounds of the invention can be synthesized using the methods described in the following schemes, examples, and by using art recognized techniques.
• Compounds of the invention may be synthesized according to at least one of the methods described in schemes 1 to 3.
• Scheme 1 describes a general synthetic route to compounds of Formula (I): 3-bromopyridine ( a ) undergoes metallation in the presence of base (e.g. LDA) and is subsequently treated with carbonyl compound ( b ) to generate the alcohol ( c ). Alcohol c undergoes a coupling reaction with various boronic acids or esters ( e ) using standard Suzuki coupling conditions to generate the desired compound of Formula I. Alternatively, metallation of 3-bromopyridine ( a) and trapping of the anion with an acid chloride (e.g. R 3 C(O)Cl) or anhydride generates the corresponding carbonyl compound ( f ).
• base e.g. LDA
• carbonyl compound b
• Alcohol c undergoes a coupling reaction with various boronic acids or esters ( e ) using standard Suzuki coupling conditions to generate the desired compound of Formula I.
• ketone ( f) undergoes Suzuki coupling with boronic acid or ester ( e) to generate intermediate ( g).
• Intermediate ( g) undergoes nucleophilic addition with the nucleophile R 1 M (e.g R 1 M is a hydride, a Grignard reagent, an organolithium reagent, an organozinc reagent or other organometallic reagent) to generate the desired compound of Formula I.
• R 1 M is a hydride, a Grignard reagent, an organolithium reagent, an organozinc reagent or other organometallic reagent
• Boronic acids or esters ( e ) wherein R is H or alkyl are commercially available or are prepared from the corresponding halide or triflate ( d ) (e.g. X is Br, I, OTf) using Miyaura boration condition.
• optionally substituted benzofuran can be treated with n-BuLi and trimethylborate, followed by hydrolysis with HCI to generate benzofuran-2-ylboronic acid.
• Scheme 2 illustrates the synthesis of Compounds of Formula I or II wherein R 3 is H.
• aldehyde ( h ) 3-bromopyridine is treated with n-BuLi and DMF to generate aldehyde ( h ).
• Intermediate ( h ) subsequently undergoes coupling reaction with boronic acid or ester ( e ) using standard Suzuki coupling conditions as described in Scheme 1 to generate a compound of Formula I or II.
• aldehyde ( h ) can be reduced to the alcohol using a reducing agent such as for example NaBH 4 to generate a compound of Formula I or II wherein R 4 is H.
• Scheme 3 illustrates the synthesis of compounds of Formula I or II wherein A is benzothiazolyl, benzimidazolyl or benzoxazolyl.
• 3-bromopyridine ( a) undergoes metallation in the presence of base (e.g. LDA) and is subsequently treated with DMF to generate an aldehyde which is subsequently protected by treatment with triethylformate to generate intermediate ( j).
• Intermediate ( j ) is then treated with n-BuLi, followed by addition of DMF to generate aldehyde ( k ).
• Aldehyde ( k ) subsequently undergoes condensation with various reagents ( m ) wherein Y and W are independently N, NH, N-methyl, O or S, to generate intermediate ( n ).
• the desired compound of Formula I or II wherein A benzothiazolyl, benzimidazolyl or benzoxazolyl is obtained.
• the present invention provides a pharmaceutical composition
• a pharmaceutical composition comprising a compound of the present invention or a pharmaceutically acceptable salt thereof, and a pharmaceutically acceptable carrier.
• the pharmaceutical composition can be formulated for particular routes of administration such as oral administration, parenteral administration, and rectal administration, etc.
• the pharmaceutical compositions of the present invention can be made up in a solid form (including without limitation capsules, tablets, pills, granules, powders or suppositories), or in a liquid form (including without limitation solutions, suspensions or emulsions).
• compositions can be subjected to conventional pharmaceutical operations such as sterilization and/or can contain conventional inert diluents, lubricating agents, or buffering agents, as well as adjuvants, such as preservatives, stabilizers, wetting agents, emulsifers and buffers, etc.
• the pharmaceutical compositions are tablets or gelatin capsules comprising the active ingredient together with
• Tablets may be either film coated or enteric coated according to methods known in the art.
• compositions for oral administration include an effective amount of a compound of the invention in the form of tablets, lozenges, aqueous or oily suspensions, dispersible powders or granules, emulsion, hard or soft capsules, or syrups or elixirs.
• Compositions intended for oral use are prepared according to any method known in the art for the manufacture of pharmaceutical compositions and such compositions can contain one or more agents selected from the group consisting of sweetening agents, flavoring agents, coloring agents and preserving agents in order to provide pharmaceutically elegant and palatable preparations. Tablets may contain the active ingredient in admixture with nontoxic pharmaceutically acceptable excipients which are suitable for the manufacture of tablets.
• excipients are, for example, inert diluents, such as calcium carbonate, sodium carbonate, lactose, calcium phosphate or sodium phosphate; granulating and disintegrating agents, for example, corn starch, or alginic acid; binding agents, for example, starch, gelatin or acacia; and lubricating agents, for example magnesium stearate, stearic acid or talc.
• the tablets are uncoated or coated by known techniques to delay disintegration and absorption in the gastrointestinal tract and thereby provide a sustained action over a longer period.
• a time delay material such as glyceryl monostearate or glyceryl distearate can be employed.
• Formulations for oral use can be presented as hard gelatin capsules wherein the active ingredient is mixed with an inert solid diluent, for example, calcium carbonate, calcium phosphate or kaolin, or as soft gelatin capsules wherein the active ingredient is mixed with water or an oil medium, for example, peanut oil, liquid paraffin or olive oil.
• an inert solid diluent for example, calcium carbonate, calcium phosphate or kaolin
• water or an oil medium for example, peanut oil, liquid paraffin or olive oil.
• compositions are aqueous isotonic solutions or suspensions, and suppositories are advantageously prepared from fatty emulsions or suspensions.
• Said compositions may be sterilized and/or contain adjuvants, such as preserving, stabilizing, wetting or emulsifying agents, solution promoters, salts for regulating the osmotic pressure and/or buffers. In addition, they may also contain other therapeutically valuable substances.
• Said compositions are prepared according to conventional mixing, granulating or coating methods, respectively, and contain about 0.1-75%, or contain about 1-50%, of the active ingredient.
• compositions for transdermal application include an effective amount of a compound of the invention with a suitable carrier.
• Carriers suitable for transdermal delivery include absorbable pharmacologically acceptable solvents to assist passage through the skin of the host.
• transdermal devices are in the form of a bandage comprising a backing member, a reservoir containing the compound optionally with carriers, optionally a rate controlling barrier to deliver the compound of the skin of the host at a controlled and predetermined rate over a prolonged period of time, and means to secure the device to the skin.
• compositions for topical application include aqueous solutions, suspensions, ointments, creams, gels or sprayable formulations, e.g., for delivery by aerosol or the like.
• topical delivery systems will in particular be appropriate for dermal application, e.g., for the treatment of skin cancer, e.g., for prophylactic use in sun creams, lotions, sprays and the like. They are thus particularly suited for use in topical, including cosmetic, formulations well-known in the art.
• Such may contain solubilizers, stabilizers, tonicity enhancing agents, buffers and preservatives.
• a topical application may also pertain to an inhalation or to an intranasal application. They may be conveniently delivered in the form of a dry powder (either alone, as a mixture, for example a dry blend with lactose, or a mixed component particle, for example with phospholipids) from a dry powder inhaler or an aerosol spray presentation from a pressurised container, pump, spray, atomizer or nebuliser, with or without the use of a suitable propellant.
• a dry powder either alone, as a mixture, for example a dry blend with lactose, or a mixed component particle, for example with phospholipids
• the present invention further provides anhydrous pharmaceutical compositions and dosage forms comprising the compounds of the present invention as active ingredients, since water may facilitate the degradation of certain compounds.
• Anhydrous pharmaceutical compositions and dosage forms of the invention can be prepared using anhydrous or low moisture containing ingredients and low moisture or low humidity conditions.
• An anhydrous pharmaceutical composition may be prepared and stored such that its anhydrous nature is maintained. Accordingly, anhydrous compositions are packaged using materials known to prevent exposure to water such that they can be included in suitable formulary kits. Examples of suitable packaging include, but are not limited to, hermetically sealed foils, plastics, unit dose containers ( e. g ., vials), blister packs, and strip packs.
• compositions and dosage forms that comprise one or more agents that reduce the rate by which the compound of the present invention as an active ingredient will decompose.
• agents which are referred to herein as “stabilizers,” include, but are not limited to, antioxidants such as ascorbic acid, pH buffers, or salt buffers, etc.
• the compounds according to any one of Formulae I and II in free form or in pharmaceutically acceptable salt form exhibit valuable pharmacological properties, e.g. aldosterone synthase and/or CYP11B1 modulating properties, e.g. as indicated in in vitro and in vivo tests as provided in the next sections and are therefore indicated for therapy.
• valuable pharmacological properties e.g. aldosterone synthase and/or CYP11B1 modulating properties, e.g. as indicated in in vitro and in vivo tests as provided in the next sections and are therefore indicated for therapy.
• Compounds of the invention may be useful in the treatment of an indication selected from: hypokalemia, hypertension, Conn's disease, renal failure, in particular, chronic renal failure, restenosis, atherosclerosis, syndrome X, obesity, nephropathy, post-myocardial infarction, coronary heart diseases, increased formation of collagen, fibrosis and remodeling following hypertension and endothelial dysfunction, cardiovascular diseases, renal dysfunction, liver diseases, cerebrovascular diseases, vascular diseases, retinopathy, neuropathy, insulinopathy, edema, endothelial dysfunction, baroreceptor dysfunction, migraine headaches, heart failure such as congestive heart failure, arrhythmia, diastolic dysfunction, left ventricular diastolic dysfunction, diastolic heart failure, impaired diastolic filling, systolic dysfunction, ischemia, hypertropic cardiomyopathy, sudden cardiac death, myocardial and vascular fibrosis, impaired arterial compliance, myocardial necrotic lesions, vascular damage, myo
• the present invention provides the use of a compound according to any one of Formulae I and II or a pharmaceutically acceptable salt thereof in therapy.
• the therapy is selected from a disease which is ameliorated by inhibiton of aldosterone synthase and/or CYP11B1.
• the disease is selected from the afore-mentioned list, suitably hypokalemia, hypertension, congestive heart failure, atrial fibrillation, renal failure, in particular, chronic renal failure, restenosis, atherosclerosis, syndrome X, obesity, nephropathy, post-myocardial infarction, coronary heart diseases, increased formation of collagen, fibrosis such as cardiac or myocardiac fibrosis and remodeling following hypertension and endothelial dysfunction, more suitably congestive heart failure, cardiac or myocardial fibrosis, renal failure, hypertension or ventricular arrhythmia.
• the pharmaceutical composition or combination of the present invention can be in unit dosage of about 0.01-500 mg of active ingredient(s) for a subject of about 50-70 kg, or about 0.01-250 mg or about 0.01-150 mg or about 0.01-100 mg, or about 0.01-50 mg of active ingredients.
• the therapeutically effective dosage of a compound, the pharmaceutical composition, or the combinations thereof is dependent on the species of the subject, the body weight, age and individual condition, the disorder or disease or the severity thereof being treated. A physician, clinician or veterinarian of ordinary skill can readily determine the effective amount of each of the active ingredients necessary to prevent, treat or inhibit the progress of the disorder or disease.
• the above-cited dosage properties are demonstrable in vitro and in vivo tests using advantageously mammals, e.g., mice, rats, dogs, monkeys or isolated organs, tissues and preparations thereof.
• the compounds of the present invention can be applied in vitro in the form of solutions, e.g., aqueous solutions, and in vivo either enterally, parenterally, advantageously intravenously, e.g., as a suspension or in aqueous solution.
• the dosage in vitro may range between about 10 -3 molar and 10 -9 molar concentrations.
• a therapeutically effective amount in vivo may range depending on the route of administration, between about 0.0001-500 mg/kg, or between about 0.0001-100 mg/kg, or between about 0.0003-10 mg/kg.
• the activity of a compound according to the present invention can be assessed by the following in vitro & in vivo methods.
• the activity of a compound according to the present invention can be assessed by the in vitro methods described below, and/or by the following in vitro & in vivo methods well-described in the art. See Fieber, A et al. (2005), "Aldosterone Synthase Inhibitor Ameliorates Angiotensin II-Induced Organ Damage," Circulation, 111:3087-3094 .
• aldosterone synthase inhibitory activities in vitro can be determined by the following assay.
• Human adrenocortical carcinoma NCI-H295R cell line was obtained from American Type Culture Collection (Manassas, VA). Insulin/transferrin/selenium (ITS)-A supplement (100x), DMEM/F-12, antibiotic/antimycotic (100x), and fetal bovine serum (FBS) were purchased from Invitrogen (Carlsbad, CA). Anti-mouse PVT scintillation proximity assay (SPA) beads and NBS 96-well plates were obtained from GE Health Sciences (Piscataway, NJ) and Corning (Acton, MA), respectively. Solid black 96-well flat bottom plates were purchased from Costar (Corning, NY).
• Aldosterone and angiotensin (Ang II) were purchased from Sigma (St. Louis, MO).
• D-[1,2,6,7- 3 H(N)]aldosterone was acquired from PerkinElmer (Boston, MA).
• Nu-serum was a product of BD Biosciences (Franklin Lakes, NJ).
• human adrenocortical carcinoma NCI-H295R cells are seeded in NBS 96-well plates at a density of 25,000 cells/well in 100 ⁇ l of a growth medium containing DMEM/F12 supplemented with 10% FCS, 2.5% Nu-serum, 1 ⁇ g ITS/ml, and 1x antibiotic/antimycotic.
• the medium is changed after culturing for 3 days at 37 °C under an atmosphere of 5% CO 2 /95% air.
• cells are rinsed with 100 ⁇ l of phosphate-buffered saline (PBS) and incubated with 100 ⁇ l of treatment medium containing 1 ⁇ M Ang II and a compound at different concentrations in quadruplicate wells at 37 °C for 24 hr.
• PBS phosphate-buffered saline
• 50 ⁇ l of medium is withdrawn from each well for measurement of aldosterone production by an SPA using mouse anti-aldosterone monoclonal antibodies.
• Measurement of aldosterone activity can also be performed using a 96-well plate format. Each test sample is incubated with 0.02 ⁇ Ci of D-[1,2,6,7- 3 H(N)]aldosterone and 0.3 ⁇ g of anti-aldosterone antibody in PBS containing 0.1% Triton X-100, 0.1% bovine serum albumin, and 12% glycerol in a total volume of 200 ⁇ l at room temperature for 1 hr. Anti-mouse PVT SPA beads (50 ⁇ l) are then added to each well and incubated overnight at room temperature prior to counting in a Microbeta plate counter. The amount of aldosterone in each sample is calculated by comparing with a standard curve generated using known quantities of the hormone.
• the in vitro inhibitory activities for CYP11B1 can be determined by the following assay.
• the cell line NCI-H295R was originally isolated from an adrenocortical carcinoma and has been characterized in the literature through the stimulable secretion of steroid hormones and the presence of the enymes essential for steroidogenesis.
• the NCI-H295R cells have CYP11 B1 (steroid 11 ⁇ - hydroxylase).
• the cells show the physiological property of zonally undifferentiated human foetal adrenocortical cells which, however, have the capacity to produce the steroid hormones which are formed in the three, phenotypically distinguishable zones in the adult adrenal cortex.
• the NCI-H295R cells (American Type Culture Collection, ATCC, Rockville, MD, USA) are grown in Dulbeoco's Modified Eagle'Ham F-12 Medium (DME/F12), which has been supplemented with Ulroser SF Serum(Soprachem, Cergy-Saint- Christophe, France), insulin, transferrin, selenite (I-T-S, Becton Dickinson Biosiences, Franklin lakes, NJ, USA) and antibiotics in 75 cm 2 cell culture vessels at 37°C and in a 95% air- 5% carbon dioxide atmosphere. The cells are subsequently transferred for colony formation into a 24-well incubation vessel.
• DME/F12 Dulbeoco's Modified Eagle'Ham F-12 Medium
• DME/F12 medium which is now supplemented with 0.1 % bovine serum instead of Ultroser SF for 24 hours.
• the experiment is initiated by cultivating the cells in DME/F12 medium which is supplemented with 0.1% bovine serum albumin and test compound, in the presence or absence of cell stimulants, for 72 hours.
• the test substance is added in a concentration range from 0.2 nanomolar to 20 millimolar.
• Cell stimulants which can be used are angiotensin 11 (1D or 100 nanomolar), potassium ions (16 millimolar), forskolin (10 micromolar) or a combination of two stimulants.
• aldosterone, cortisol, corticosterone and estradiol/estrone into the culture medium can be detected and quantified by commercially available, specific monoclonal antibodies in radioimmunoassays in accordance with the manufacturer's instructions.
• Inhibition of the release of certain steroids can be used as a measure of the respective enzyme inhibition by the added test compounds.
• the dose-dependent inhibition of enzymic activity by a compound is calculated by means of an inhibition plot which is characterized by an IC50.
• the IC50 values for active test compounds are ascertained by a simple linear regression analysis in order to construct inhibition plots without data weighting.
• the inhibition plot is calculated by fitting a 4-parameter logistic function to the raw data points using the least squares method.
• the inhibition activity of aldosterone production can also be expressed in percentage inhibition (% inhibition) at a given concentration (e.g. % inhibition at 1 ⁇ M), which is the aldosterone level when the cell is treated with the given concentration of a compound of this invention (e.g.
• % inhibition aldosterone production Y ⁇ X / Y ⁇ 100 wherein X is the level of aldosterone when the cell is treated with a compound according to any one of Formulae I and II, or a pharmaceutcally acceptable salt thereof; and Y is the level of aldosterone when the cell is free of compound according to any one of Formulae I and II.
• the inhibition activity of CYP11B1 production can also be expressed in percentage inhibition (% inhibition) at a given concentration (e.g. % inhibition at 1 ⁇ M), which is the cortisol level when cell is treated with the given concentration of a compound of the invention (e.g. concentration of 1 ⁇ M) versus the cortisol excretion when cell is free of the compound of the invention.
• % inhibition cortisol production Y' ⁇ X' / Y' ⁇ 100 wherein X' is the level of cortisol when the cell is treated with a compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof; and Y' is the level of cortisol when the cell is free of compound according to any one of Formulae I and II.
• the compound of the present invention, or a pharmaceutically acceptable salt thereof may be administered either simultaneously with, or before or after, one or more other therapeutic agent.
• the compound of the present invention, or a pharmaceutically acceptable salt thereof may be administered separately, by the same or different route of administration, or together in the same pharmaceutical composition as the other agents.
• the invention provides a product comprising a compound according to any one of Formulae I and II or a pharmaceutically acceptable salt thereof, and at least one other therapeutic agent as a combined preparation for simultaneous, separate or sequential use in therapy.
• the therapy is the treatment of a disease or condition mediated by aldosterone synthase and/or CYP11B1.
• Products provided as a combined preparation include a composition comprising the compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof, and the other therapeutic agent(s) together in the same pharmaceutical composition, or the compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof, and the other therapeutic agent(s) in separate form, e.g. in the form of a kit.
• the invention provides a pharmaceutical composition
• a pharmaceutical composition comprising a compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof, and another therapeutic agent(s).
• the pharmaceutical composition may comprise a pharmaceutically acceptable excipient, as described above.
• the invention provides a kit comprising two or more separate pharmaceutical compositions, at least one of which contains a compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof.
• the kit comprises means for separately retaining said compositions, such as a container, divided bottle, or divided foil packet.
• An example of such a kit is a blister pack, as typically used for the packaging of tablets, capsules and the like.
• the kit of the invention may be used for administering different dosage forms, for example, oral and parenteral, for administering the separate compositions at different dosage intervals, or for titrating the separate compositions against one another.
• the kit of the invention typically comprises directions for administration.
• the compound of the invention and the other therapeutic agent may be manufactured and/or formulated by the same or different manufacturers.
• the compound of the invention, or a pharmaceutically acceptable salt thereof, and the other therapeutic may be brought together into a combination therapy: (i) prior to release of the combination product to physicians (e.g. in the case of a kit comprising the compound of the invention and the other therapeutic agent); (ii) by the physician themselves (or under the guidance of the physician) shortly before administration; (iii) in the patient themselves, e.g. during sequential administration of the compound of the invention, or a pharmaceutically acceptable salt thereof, and the other therapeutic agent.
• the invention provides the use of a compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof, for treating a disease or condition mediated by aldosterone synthase and/or CYP11B1, wherein the medicament is prepared for administration with another therapeutic agent.
• the invention also provides the use of another therapeutic agent for treating a disease or condition mediated by aldosterone synthase and/or CYP11B1, wherein the medicament is administered with a compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof.
• the invention also provides a compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof, for use in a method of treating a disease or condition mediated by aldosterone synthase and/or CYP11B1, wherein the compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof, is prepared for administration with another therapeutic agent.
• the invention also provides another therapeutic agent for use in a method of treating a disease or condition mediated by aldosterone synthase and/or CYP11B1, wherein the other therapeutic agent is prepared for administration with a compound any one of of Formulae I and II, or a pharmaceutically acceptable salt thereof.
• the invention also provides a compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof, for use in a method of treating a disease or condition mediated by aldosterone synthase and/or CYP11B1, wherein the compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof, is administered with another therapeutic agent.
• the invention also provides another therapeutic agent for use in a method of treating a disease or condition mediated by aldosterone synthase and/or CYP11B1, wherein the other therapeutic agent is administered with a compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof.
• the other therapeutic agent is selected from: HMG-Co-A reductase inhibitor, an angiotensin II receptor antagonist, angiotensin converting enzyme (ACE) Inhibitor, a calcium channel blocker (CCB), a dual angiotensin converting enzyme/neutral endopeptidase (ACE/NEP) inhibitor, an endothelin antagonist, a renin inhibitor, a diuretic, an ApoA-I mimic, an anti-diabetic agent, an obesity-reducing agent, an aldosterone receptor blocker, an endothelin receptor blocker, or a CETP inhibitor.
• HMG-Co-A reductase inhibitor an angiotensin II receptor antagonist
• ACE angiotensin converting enzyme
• CB calcium channel blocker
• ACE/NEP dual angiotensin converting enzyme/neutral endopeptidase
• an endothelin antagonist a renin inhibitor
• a diuretic an ApoA-I mimic
• combination with a second agent or treatment includes coadministration of the compound of the invention (e.g., a compound according to any one of Formulae I and II or a compound otherwise described herein) with the second agent or treatment, administration of the compound of the invention first, followed by the second agent or treatment and administration of the second agent or treatment first, followed by the compound of the invention.
• the compound of the invention e.g., a compound according to any one of Formulae I and II or a compound otherwise described herein
• second agent includes any agent which is known in the art to treat, prevent, or reduce the symptoms of a disease or disorder described herein, e.g., an aldosterone synthase associated disorder, such as, for example, hypokalemia, hypertension, Conn's disease, renal failure, in particular, chronic renal failure, restenosis, atherosclerosis, syndrome X, obesity, nephropathy, post-myocardial infarction, coronary heart diseases, increased formation of collagen, fibrosis and remodeling following hypertension and endothelial dysfunction, cardiovascular diseases, renal dysfunction, liver diseases, cerebrovascular diseases, vascular diseases, retinopathy, neuropathy, insulinopathy, edema, endothelial dysfunction, baroreceptor dysfunction, migraine headaches, heart failure such as congestive heart failure, arrhythmia, diastolic dysfunction, left ventricular diastolic dysfunction, diastolic heart failure, impaired diastolic filling, systolic dysfunction, ischemia, hypertropic
• second agents examples include HMG-Co-A reductase inhibitors, angiotensin II receptor antagonists, angiotensin converting enzyme (ACE) Inhibitors, calcium channel blockers (CCB), dual angiotensin converting enzyme/neutral endopeptidase (ACE/NEP) inhibitors, endothelin antagonists, renin inhibitors, diuretics, ApoA-I mimics, anti-diabetic agents, obesity-reducing agents, aldosterone receptor blockers, endothelin receptor blockers, and CETP inhibitors.
• HMG-Co-A reductase inhibitors angiotensin II receptor antagonists
• ACE angiotensin converting enzyme
• CB calcium channel blockers
• ACE/NEP dual angiotensin converting enzyme/neutral endopeptidase
• endothelin antagonists renin inhibitors
• diuretics ApoA-I mimics
• anti-diabetic agents obesity-reducing agents
• angiotensin II receptor antagonist or a pharmaceutically acceptable salt thereof is understood to be an active ingredient which bind to the AT 1 -receptor subtype of angiotensin II receptor but do not result in activation of the receptor.
• these antagonists can, for example, be employed as antihypertensives or for treating congestive heart failure.
• the class of AT 1 receptor antagonists comprises compounds having differing structural features, essentially preferred are the non-peptidic ones.
• Preferred AT 1 -receptor antagonist are those agents which have been marketed, most preferred is valsartan or a pharmaceutically acceptable salt thereof.
• HMG-Co-A reductase inhibitor also called beta-hydroxy-beta-methylglutaryl-co-enzyme-A reductase inhibitors
• active agents that may be used to lower the lipid levels including cholesterol in blood. Examples include atorvastatin, cerivastatin, compactin, dalvastatin, dihydrocompactin, fluindostatin, fluvastatin, lovastatin, pitavastatin, mevastatin, pravastatin, rivastatin, simvastatin, and velostatin, or, pharmaceutically acceptable salts thereof.
• ACE-inhibitor also called angiotensin converting enzyme inhibitors
• ACE-inhibitor includes molecules that interrupt the enzymatic degradation of angiotensin I to angiotensin II. Such compounds may be used for the regulation of blood pressure and for the treatment of congestive heart failure.
• Examples include alacepril, benazepril, benazeprilat, captopril, ceronapril, cilazapril, delapril, enalapril, enaprilat, fosinopril, imidapril, lisinopril, moveltopril, perindopril, quinapril, ramipril, spirapril, temocapril, and trandolapril, or, pharmaceutically acceptables salt thereof.
• CCB calcium channel blocker
• DHPs dihydropyridines
• non-DHPs e.g., diltiazem-type and verapamil-type CCBs
• Examples include amlodipine, felodipine, ryosidine, isradipine, lacidipine, nicardipine, nifedipine, niguldipine, niludipine, nimodipine, nisoldipine, nitrendipine, and nivaldipine, and is preferably a non-DHP representative selected from the group consisting of flunarizine, prenylamine, diltiazem, fendiline, gallopamil, mibefradil, anipamil, tiapamil and verapamil, or, pharmaceutically acceptable salts thereof.
• CCBs may be used as anti-hypertensive, anti-angina pectoris, or anti
• ACE/NEP dual angiotensin converting enzyme/neutral endopetidase
• ACE/NEP omapatrilate
• fasidotril or fasidotrilate fasidotrilate, or pharmaceutically acceptable salts thereof.
• endothelin antagonist includes bosentan (cf. EP 526708 A ), tezosentan (cf. WO 96/19459 ), or, pharmaceutically acceptable salts thereof.
• renin inhibitor includes ditekiren (chemical name: [1 S- [1 R *,2 R *,4 R *(1 R *,2 R *)]]-1-[(1,1-dimethylethoxy)carbonyl]-L-proly I-L-phenylalanyl-N-[2-hydroxy-5-methyl-1-(2-methylpropyl)-4-[[[2-methyl-1-[[(2-pyridinylmrthyl)amino]carbonyl]butyl]amino]carbonyl]hexyl]-N-alfa-methyl-L-histidinamide); terlakiren (chemical name: [ R -( R *, S *)]-N-(4-morpholinylcarbonyl)-L-phenylalanyl-N-[1-(cyclohexylmethyl)-2-hydroxy-3-(1-methylethoxy)-3-oxopropyl]-S-methyl-cysteineamide); Ali
• diuretic includes thiazide derivatives (e.g., chlorothiazide, hydrochlorothiazide, methylclothiazide, and chlorothalidon).
• thiazide derivatives e.g., chlorothiazide, hydrochlorothiazide, methylclothiazide, and chlorothalidon.
• ApoA-I mimic includes D4F peptides (e.g., formula D-W-F-K-A-F-Y-D-K-V-A-E-K-F-K-E-A-F)
• anti-diabetic agent includes insulin secretion enhancers that promote the secretion of insulin from pancreatic ⁇ -cells.
• examples include biguanide derivatives (e.g., metformin), sulfonylureas (SU) (e.g., tolbutamide, chlorpropamide, tolazamide, acetohexamide, 4-chloro- N -[(1-pyrolidinylamino)carbonyl]-benzensulfonamide (glycopyramide), glibenclamide (glyburide), gliclazide, 1-butyl-3-metanilylurea, carbutamide, glibonuride, glipizide, gliquidone, glisoxepid, glybuthiazole, glibuzole, glyhexamide, glymidine, glypinamide, phenbutamide, and tolylcyclamide), or pharmaceutically acceptable salts thereof.
• biguanide derivatives
• phenylalanine derivatives e . g ., nateglinide [ N -( trans- 4-isopropylcyclohexylcarbonyl)-D-phenylalanine] (cf. EP 196222 and EP 526171 ) of the formula repaglinide [( S )-2-ethoxy-4- ⁇ 2-[[3-methyl-1-[2-(1-piperidinyl)phenyl]butyl]amino]-2-oxoethyl ⁇ benzoic acid] (cf.
• EP 589874 EP 147850 A2 , in particular Example 11 on page 61, and EP 207331 A1
• calcium (2 S )-2-benzyl-3-( cis -hexahydro-2-isoindolinlycarbonyl)-propionate dihydrate e.g., mitiglinide (cf. EP 507534 )
• glimepiride cf. EP 31058
• Further examples include DPP-IV inhibitors, GLP-1 and GLP-1 agonists.
• DPP-IV is responsible for inactivating GLP-1. More particularly, DPP-IV generates a GLP-1 receptor antagonist and thereby shortens the physiological response to GLP-1. GLP-1 is a major stimulator of pancreatic insulin secretion and has direct beneficial effects on glucose disposal.
• the DPP-IV inhibitor can be peptidic or, preferably, non-peptidic.
• DPP-IV inhibitors are in each case generically and specifically disclosed e.g. in WO 98/19998 , DE 196 16 486 A1 , WO 00/34241 and WO 95/15309 , in each case in particular in the compound claims and the final products of the working examples, the subject-matter of the final products, the pharmaceutical preparations and the claims are hereby incorporated into the present application by reference to these publications.
• Preferred are those compounds that are specifically disclosed in Example 3 of WO 98/19998 and Example 1 of WO 00/34241 , respectively.
• GLP-1 is an insulinotropic protein which is described, e.g., by W.E. Schmidt et al. in Diabetologia, 28, 1985, 704-707 and in US 5,705,483 .
• GLP-1 agonists includes variants and analogs of GLP-1(7-36)NH 2 which are disclosed in particular in US 5,120,712 , US 5,118666 , US 5,512,549 , WO 91/11457 and by C. Orskov et al in J. Biol. Chem. 264 (1989) 12826 .
• GLP-1(7-37) in which compound the carboxy-terminal amide functionality of Arg 36 is displaced with Gly at the 37 th position of the GLP-1(7-36)NH 2 molecule and variants and analogs thereof including GLN 9 -GLP-1(7-37), D-GLN 9 -GLP-1(7-37), acetyl LYS 9 -GLP-1(7-37), LYS 18 -GLP-1(7-37) and, in particular, GLP-1(7-37)OH, VAL 8 -GLP-1(7-37), GLY 8 -GLP-1 (7-37), THR 8 -GLP-1(7-37), MET 8 -GLP-1(7-37) and 4-imidazopropionyl-GLP-1.
• Special preference is also given to the GLP agonist analog exendin-4, described by Greig et al. in Diabetologia 1999, 42, 45-50 .
• insulin sensitivity enhancers which restore impaired insulin receptor function to reduce insulin resistance and consequently enhance the insulin sensitivity.
• examples include hypoglycemic thiazolidinedione derivatives ( e . g ., glitazone, ( S )-((3,4-dihydro-2-(phenyl-methyl)-2 H -1-benzopyran-6-yl)methyl-thiazolidine-2,4-dione (englitazone), 5- ⁇ [4-(3-(5-methyl-2-phenyl-4-oxazolyl)-1-oxopropyl)-phenyl]-methyl ⁇ -thiazolidine-2,4-dione (darglitazone), 5- ⁇ [4-(1-methylcyclohexyl)methoxy)-phenyl]methyl ⁇ -thiazolidine-2,4-dione (ciglitazone), 5- ⁇ [4-(2-(1-indolyl)e
• insulin signalling pathway modulators like inhibitors of protein tyrosine phosphatases (PTPases), antidiabetic non-small molecule mimetic compounds and inhibitors of glutamine-fructose-6-phosphate amidotransferase (GFAT); compounds influencing a dysregulated hepatic glucose production, like inhibitors of glucose-6-phosphatase (G6Pase), inhibitors of fructose-1,6-bisphosphatase (F-1,6-Bpase), inhibitors of glycogen phosphorylase (GP), glucagon receptor antagonists and inhibitors of phosphoenolpyruvate carboxykinase (PEPCK); pyruvate dehydrogenase kinase (PDHK) inhibitors; inhibitors of gastric emptying; insulin; inhibitors of GSK-3; retinoid X receptor (RXR) agonists; agonists of Beta-3 AR; agonists of uncoupling proteins (UC)
• PTPases protein ty
• appetite-reducing agent includes lipase inhibitors (e.g., orlistat) and appetite suppressants (e.g., sibutramine and phentermine).
• lipase inhibitors e.g., orlistat
• appetite suppressants e.g., sibutramine and phentermine
• aldosterone receptor blocker includes spironolactone and eplerenone.
• endothelin receptor blocker includes bosentan.
• CETP inhibitor refers to a compound that inhibits the cholesteryl ester transfer protein (CETP) mediated transport of various cholesteryl esters and triglycerides from HDL to LDL and VLDL.
• CETP inhibition activity is readily determined by those skilled in the art according to standard assays (e.g., U.S. Pat. No. 6,140,343 ). Examples include compounds disclosed in U.S. Pat. No. 6,140,343 and U. S. Pat. No. 6,197,786 ( e .
• 6,723,752 e.g., (2R)-3- ⁇ [3-(4-Chloro-3-ethyl-phenoxy)-phenyl]-[[3-(1,1,2,2-tetrafluoro-ethoxy)-phenyl]-methyl]-amino ⁇ -1,1,1-trifluoro-2-propanol); compounds disclosed in U.S. patent application Ser. No. 10/807,838 ; polypeptide derivatives disclosed in U.S. Pat. No. 5,512,548 ; rosenonolactone derivatives and phosphate-containing analogs of cholesteryl ester disclosed in J. Antibiot., 49(8): 815- 816 (1996 ), and Bioorg. Med. Chem. Lett.; 6:1951-1954 (1996 ), respectively.
• the CETP inhibitors also include those disclosed in WO2000/017165 , WO2005/095409 and WO2005/097806 .
• the invention provides a pharmaceutical composition
• a pharmaceutical composition comprising a therapeutically effective amount of a compound according to any one of Formulae I and II or a pharmaceutically acceptable salt thereof, and one or more pharmaceutically acceptable carriers.
• the invention provides a combination, in particular a pharmaceutical combination, comprising a therapeutically effective amount of the compound according to any one of Formulae I and II or a pharmaceutically acceptable salt thereof and one or more therapeutically active agents selected from HMG-Co-A reductase inhibitor, an angiotensin II receptor antagonist, angiotensin converting enzyme (ACE) Inhibitor, a calcium channel blocker (CCB), a dual angiotensin converting enzyme/neutral endopeptidase (ACE/NEP) inhibitor, an endothelin antagonist, a renin inhibitor, a diuretic, an ApoA-I mimic, an anti-diabetic agent, an obesity-reducing agent, an aldosterone receptor blocker, an endothelin receptor blocker, or a CETP inhibitor.
• HMG-Co-A reductase inhibitor an angiotensin II receptor antagonist
• angiotensin converting enzyme (ACE) Inhibitor a calcium channel blocker (CCB)
• the invention provides a compound according to any one of Formulae I and II, or a pharmaceutically acceptable salt thereof, for use as a medicament.
• Step 1 3-Bromo-4-diethoxymethyl-pyridine ( 37a )
• Step 2 4-Diethoxymethyl-pyridine-3-carbaldehyde ( 37b )
• Step 3 6-Chloro-2-(4-diethoxymethyl-pyridin-3-yl)-1-methyl-1H-benzoimidazole ( 37c )
• Step 4 3-(6-Chloro-1-methyl-1H-benzoimidazol-2-yl)-pyridine-4-carbaldehyde ( 37d )
• Step 1 3-Bromo-4-diethoxymethyl-5-fluoro-pyridine ( 38a )
• Step 2 4-Diethoxymethyl-5-fluoro-pyridine-3-carbaldehyde ( 38b )
• Preparative LC-MS (system C) : Waters 2525 HPLC system with Micromass ZQ MS detection (equilibration: 95% water - 5% methanol/acetonitrile 4:1, both containing 0.1 % TFA using a flow rate of 15 ml/min).
• One minute elution with 10% of solvent 2 followed by linear gradient of five minutes from 10% to 50% of solvent 2, followed by one minute elution with 50% of solvent 2, followed by linear gradient of six seconds from 50% to 100% of solvent 2, followed by two minutes elution with 100% of solvent 2, using a flow rate of 60 ml/min on a Waters SunfireTM prep C-18 column 30 x 150 mm, 5 ⁇ m.
• the desired products were collected in multiple fractions, based on mass and UV detection.
• Preparative LC-MS (system D) : Waters 2525 HPLC system with Micromass ZQ MS detection (equilibration: 95% water - 5% methanol/acetonitrile 4:1, both containing 0.1 % TFA using a flow rate of 15 ml/min).
• the desired products were collected in multiple fractions, based on mass and UV detection.
• Analytical LC-MS (system1) : Waters Acquity UPLC, run time: 6.00 min, Acquity Column 2.1 x 50 mm HSS T3 1.8 ⁇ .
• Solvent A water + 3 mM ammonium acetate + 0.05% formic acid (from 98% to 2%),
• Solvent B acetonitrile + 0.04 % formic acid (from 2% to 98%).
• Analytical LC-MS (system2) : Waters XBridge C18 column 3 x 30 mm, 2.5 ⁇ m, run time: 3 min, Solvent A: water + 5% acetonitrile + 0.5%-1% formic acid (from 99% to 5%), Solvent B: acetonitrile + 0.5%-1% formic acid (from 1% to 95%).
• 1 H NMR (system 3) : 500Mhz Brucker Avance DRX , experiments in d-DMSO
• 1 H NMR (system 4) : 400Mhz Brucker Avance DRX , experiments in d-DMSO
• the compounds of this invention are useful as inhibitors of aldosterone synthase activity and therefore useful in the treatment of diseases and conditions mediated by aldosterone synthase such as the metabolic disorders disclosed herein.

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